• adolescentes

Adolescent Health

Young people are a sizable age group, comprising approximately 30% of the population in Latin America and the Caribbean. Adolescents are generally considered to be a "healthy" segment of the population, and their health needs are often overlooked. However, investing in health and education for young people and the alignment of economic policies enable productivity and economic growth.

Furthermore, investment in young people's health is essential to protect investments made in childhood (e.g. significant investments in vaccines and food programs) and secures the health of the future adult population. Most habits detrimental to health are acquired during adolescence and youth and manifest themselves as health problems in adulthood (e.g. lung cancer caused by the consumption of tobacco), adding an avoidable financial burden to the health systems.

Key facts
  • Youth violence is a global public health problem. It includes a range of acts from bullying and physical fighting, to more severe sexual and physical assault to homicide.
  • Promoting healthy behavior during adolescence, and taking steps to better protect young people from health risks are critical for the prevention of health problems in adulthood, and for countries' future health and ability to develop and thrive.
  • Adolescent pregnancies are a global problem that occurs in high, middle, and low income countries. Around the world, adolescent pregnancies are more likely to occur in marginalized communities, commonly driven by poverty and lack of education and employment opportunities
Fact sheet

Over the past years, the Region of the Americas has made important progress toward improving the health of women, children, and adolescents. Neonatal, child, and maternal mortality have declined. However, the advancements have not benefitted all population groups equally: major variances exist between and within countries.

Consistently, women and children from the lower socio-economic levels, along with those living in rural settings, indigenous groups, Afro-descendants, and the less educated have higher burdens of morbidity and mortality. Adolescent mortality, mainly due to preventable causes, has remained stagnant or has increased, and adolescent pregnancy remains unacceptably high.

PAHO Response

In September 2018, Member States of the Pan American Health Organization adopted the Plan of Action for Women’s, Children’s and Adolescents’ Health 2018-2030. This Plan of Action is based on four complementary and mutually reinforcing strategic lines of action:

  1. Strengthen a transformative policy environment to reduce health inequities among women, children, and adolescents.
  2. Promote universal, effective, and equitable health and well-being for all women, children, and adolescents in their families, schools, and communities throughout the life course.
  3. Expand equitable access to comprehensive, integrated, quality health services for women, children, adolescents, and families, that are people-, family-, and community-centered.
  4. Strengthen information systems for the collection, availability, accessibility, quality, and dissemination of strategic information, including health data and statistics on the health of women, children and adolescents, within the framework of the principles proposed in this Plan.

Within this Plan of Action, the role of the Pan American Health Organization is to:

  1. provide technical cooperation to Member States for the development of updated national action plans and to disseminate tools that facilitate integrated, equity-based, and innovative approaches to the health of women, children, and adolescents;
  2. strengthen coordination of the Plan of Action with similar initiatives developed by other international technical and financial agencies and global initiatives for the health and well-being of women, children, and adolescents;
  3. report periodically to the Governing Bodies on the progress made and challenges faced in implementation of the Plan of Action.
Campaigns
Concurso voces jóvenes 2024

"Youth Voices" Contest 2024

The Youth Voices initiative is implemented as a competition with prices as incentives and aims to provide an attractive platform for young people to express their opinions regarding a specific health issue through painting, drawing, illustrations, comics, poems, stories, videos, and songs.

Día Internacional de la Juventud 2024

International Youth Day 2024

The theme for International Youth Day 2024 was "From Clicks to Progress: Youth Digital Pathways for Sustainable Development".

Main action areas 
enfermedades no transmisibles en adolescentes

NCDs in adolescents

Adolescents represent the well-being of a society and its development potential - and good health helps ensure independence, security, and productivity across the life course (the World Health Organization defines young people as individuals between the ages of 10 and 24 years old. Adolescents comprise the 10-19 year-old age group and youth the 15-24 year old age group). Many NCDs are associated with behaviors that are established in adolescence, including harmful use of alcohol, tobacco use, sedentary lifestyle, and an unhealthy diet, which disproportionately affects poor, vulnerable and less educated sections of our communities.

The good news is that it is much easier to establish positive health behaviors early in life than to change risk behaviors during middle-age. We can improve the quality of lives of adolescents through multisectorial collaboration by scaling-up evidence-based interventions, so that all adolescents live a healthy life.

familias de adolescentes

Families

The most effective way of improving the health of adolescents is to adopt an integral prevention and promotion approach to their development.

Adolescent health and development has become a critical issue, especially if the aim is to address problems such as unprotected sex, unwanted pregnancies, alcohol and drug abuse, accidents, violence, nutritional disorders, etc. These health problems stem from the behaviors or lifestyles of young people themselves, have common risk factors, and have a cause-and-effect relationship.

Within the Comprehensive Adolescent Health Program proposed by the Pan American Health Organization, a family focus is considered one of the major integrating approaches that should be adopted as strategy for tackling these problems, as the family is one of the micro-environments that promote health, development, and well-being.

 

From a psychosocial perspective, the family is viewed as:

  • One of the adolescent's micro-environments and therefore responsible for promoting a healthy lifestyle. This lifestyle should foster the well-being and development of all family members.
  • A complex and integrating context in itself, since it participates in the interactional dynamic of the biological, psychosocial, and ecological systems, in which the basic processes in adolescent development are mobilized.
  • A psychosocial unit subject to the influence of sociocultural protection and risk factors, whose interaction makes it vulnerable to crises or dysfunctional patterns.
  • One of the protective factors when it works properly; it is therefore one of the primordial and primary foci in prevention

The Strengthening Families Program is an initiative targeting parents and adolescents that has proven to reduce the probability of psychotropic substance abuse and other risk behaviors associated with adolescents, including those related to HIV/AIDS and sexual and reproductive health.

Adapted from the original Iowa Strengthening Families Program (ISFP), developed by the Iowa State University, it was adapted by the Pan American Health Organization (PAHO) and its authors to the social and cultural reality of the Region of the Americas.

The Strengthening Families Program is designed to:

  • Help parents or guardians acquire parenting skills that support young people's development
  • Teach parents or guardians effective ways of disciplining and guiding their children.
  • Provide young people with healthy guidelines for the future and heighten their appreciation of the parents' or guardians' efforts.
  • Give young people the skills to handle stress and peer pressure.

This program consists of seven sessions designed to reduce risk factors connected with the family and involves developing protective strategies for both young people and their parents or guardians. In each session, parallel activities are carried out with parents or guardians and young people, concluding with common activities for the entire family over the course of seven weeks. The program includes teaching manuals, videos that illustrate the different topics, and models for individual and group practicums.

The sessions are divided thematically, as follows:

  1. Using love and limits
  2. Setting down the rules of the household
  3. Promoting good behavior
  4. The use of consequences
  5. Building bridges
  6. Protection against substance abuse
  7. Assistance for the special needs of the family

género y diversidad en la adolescencia

Gender and Diversity

Cultural and social gender norms often restrict adolescent girls' access to basic information and knowledge, and prescribe an unequal and passive role in sexual decision making. This undermines their autonomy and exposes many of them to sexual coercion and abusive relationships. Adolescent girls in the Region are disempowered and in a vulnerable situation. The empowerment of adolescents is crucial to the countries meeting the Millennium Development Goals.

Likewise, traditional expectations related to masculinity are often associated with behaviors that increase the risk of HIV infection among men and adolescent boys (a high number of sexual partners, use of drugs or alcohol, and refusal to seek medical care for sexually transmitted infections).

Fact sheet: Investing in Indigenous Youth to Achieve Healthy Populations
 

salud sexual y reproductiva en adolescentes

Sexual and Reproductive Health

The sexual and reproductive health problems confronting youth today are varied and complex. Well known and documented, they include risky sexual behavior, unwanted pregnancies, unmet need for contraception, and sexually transmitted infections (STI), including HIV.

Furthermore, young people must overcome cultural barriers resulting from oppressive, discriminatory policies and laws that limit the reproductive options of women, and must also contend with the lack of physical infrastructure that would provide safe and healthy spaces for their development.


servicios de salud para adolescentes. Estrategia IMAN

Health Services

Adolescent and youth access to health services also continues to be inadequate in most countries. Many young people encounter legal and financial barriers and unfriendly environments when they use health services, including breaches in confidentiality, judgmental and disapproving attitudes relating to sexual activity and substance use, and discrimination.

Additionally, access to health services (including biomedical, mental health, and others) is affected by the financial policies of the health system, geographical barriers, and availability of health personnel.

Violencia, Alcohol, Tabaco y Drogas en los adolescentes

Alcohol, Tobacco, Drugs and Violence

The pervasiveness of violence in the Region is recognized as one of the most urgent threats to adolescent health and development. The leading causes of death among people between the ages of 10 and 19 include homicide, suicide, and motor vehicle crashes. In 2000 in the Region of the Americas, the homicide rate among 15 to 29 year-old men and women was 68.6 and 6.4 per 100,000, respectively (compared to high income countries in Europe where the homicide rate only reached 1.7 and 0.7 per 100,000 men and women, respectively).

Alcohol consumption contributes to a significant portion of physical, social and mental harm. In the Region of the Americas, 4.8% of all deaths and 9.7% of all disability-adjusted years lost in the year 2000 were attributable to alcohol consumption. In 2005 in the Caribbean, 40% of adolescent girls and 50% of adolescent boys 12-18 years old had consumed alcohol and 1 in 10 youth 16-18 years old had consumed four or more alcoholic beverages at once. Approximately 1 in 10 adolescents 13-17 years old had used illegal drugs sometime in their lives.

Virtual Courses
Grupo de adolescentes

 

 Comprehensive Adolescent Health (only in Spanish)

The purpose of this course is to improve the knowledge, understanding, and competencies of program managers and coordinators, health service providers, civil society, and non-governmental organizations working for and with adolescents so that they can develop and implement health programs, interventions, and services that respond to adolescents' needs and developmental stages.

Course link

curso diagnostico cancer adolesentes

 

Early Diagnosis of Cancer in Childhood and Adolescence

The purpose of this course is to contribute to the reduction of morbidity and mortality in children and adolescents with cancer by strengthening the capacities of healthcare professionals in the early diagnosis of cancer. The course will also cover epidemiological, genetic, clinical, and initial management aspects of children with suspected cancer. It will also provide information on the interpretation of complementary tests for the timely diagnosis of cancer in childhood and adolescence.

Course link

Webinars and Videos

Leveraging the transformative power of digital technology towards achievement of the SDG 3 targets for and with young people in Latin America and the Caribbean (August 12, 2024)

Other webinars

Accelerating progress towards achievement of the Sustainable Development Goal 3 (SDG3) targets for young people in the Americas (Oct. 25, 2023)

International Youth Day 2024 / Día Internacional de la Juventud 2024. PAHO Director Dr. Jarbas Barbosa, answers questions from members of the PAHO Youth for Health Group (PYHG).

 

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